Order Form For DVD and VHS

                              To order DVD's and VHS tapes of past shows please print out this form

                               and mail with check to

                                                             Caddo Mills Historical Society

                                                                        P.O. Box 536

                                                                Caddo Mills, Texas 75135

                                                             Circle Program Dates to Order

                               Jan. 12, 08      Feb. 09, 08      Mar. 08, 08   Apr. 12, 08    Apr. 19, 08

                               May 10, 08     Jun. 14, 08      Aug. 09, 08    Oct. 11, 08    Nov. 08, 08

                               Nov. 22, 08    Dec. 13, 08      Jan. 10, 09     Feb. 14, 09    Mar. 14, 09

                               Jun. 13, 09     Jul. 11, 09        Aug. 08, 09    Nov. 14, 09    Feb. 13, 10

                                                       Qty                                      Total

                                                        ___  DVD @ $12.00 Each  _______

                                                       ____  VHS @ $14.00 Each  _______

                                                                                       Total  _______

                                                       Price includes Shipping

                                              Name    ________________________

                                              Address ________________________

                                              City       ________________________

                                              State      ___________ Zip __________

                                              Phone    _________________________

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